Postmenopausal bleeding (Pmb) and benign conditions Study in rural belt of India. - ppt download
![](https://slideplayer.com/9/2401219/big_thumb.jpg)
Detailed history Assessment of risk factors Full clinical examination Investigations: Routine Pap smear Appropriate biopsy Smear Cytology TVS HSG combined with TVS Saline sono-hysterography CT MRI (as required)
Postmenopausal bleeding (Pmb) and benign conditions Study in rural belt of India
Benign conditions though most frequent and can cause considerable distress. Study: In Gynecology department, RIMS, a rural based tertiary center (Jan’10-July’12) patients, 1200 Pmb. Aim To exclude malignancy To confirm diagnosis To treat accordingly.
Para<=5: 513 (57 %) Low SES: 700 (78%) No circumcision: 555 (61.66%) belonging to Hindu community
50-54 yrsEndometrial (Em) yrs Endometrial (Em)
300(25%) in present study had malignant lesions. Community education, mass screening, regular follow up, timely intervention is necessary even with slight bleeding. Em. Thickness >4mm, bulky uterus considered malignant unless until proved..
QUESTIONS Thank you Dr Gopa Chowdhury Asstt. Prof, RIMS, Ranchi INDIA
![](https://slideplayer.com/slide/10577623/36/images/3/causes+1%29+exogenous+estrogens+2%29atrophic+vaginitis+%26+endometritis.jpg)
Post menopausal bleeding - ppt download
![](https://images.slideplayer.com/28/9410266/slides/slide_9.jpg)
Postmenopausal bleeding (Pmb) and benign conditions Study in rural belt of India. - ppt download
![](https://image.slidesharecdn.com/postmenopausalbleeding-131214071741-phpapp01/85/postmenopausal-bleeding-17-320.jpg?cb=1708231288)
Postmenopausal bleeding
![](https://image.slidesharecdn.com/postmenapausalbleding-201121161647/85/postmenapausal-bleding-2-320.jpg?cb=1669282402)
Postmenapausal bleding
![](https://image.slidesharecdn.com/postmenopausalbleeding-120506025841-phpapp02/85/postmenopausal-bleeding-29-320.jpg?cb=1667324001)
Postmenopausal bleeding
![](https://slideplayer.com/1/6823/big_thumb.jpg)
The postmenopausal bleeding (PMB) - ppt download
![](https://images.slideplayer.com/28/9410266/slides/slide_5.jpg)
Postmenopausal bleeding (Pmb) and benign conditions Study in rural belt of India. - ppt download
![](https://image.slidesharecdn.com/postmenopausalbleedingseminar-180124151926/85/post-menopausal-bleeding-seminar-41-320.jpg?cb=1706692232)
Post menopausal bleeding seminar
![](https://image.slidesharecdn.com/postmenopausalvaginalbleeding-130215074255-phpapp02/85/postmenopausal-vaginal-bleeding-12-320.jpg?cb=1666737830)
Postmenopausal vaginal bleeding
![](https://img.yumpu.com/17927959/1/500x640/mc1011-medical-chronicle.jpg)
MC1011 - Medical Chronicle
![](https://image.slidesharecdn.com/postmenopausalbleeding-120506025841-phpapp02/85/postmenopausal-bleeding-22-320.jpg?cb=1667324001)
Postmenopausal bleeding
![](https://image.slidesharecdn.com/periandpostmenopausal-uterine-bleeding-pmb3083/85/periandpostmenopausal-uterine-bleeding-pmb-4-320.jpg?cb=1668635980)
PERI-AND,POSTMENOPAUSAL UTERINE BLEEDING 'PMB
![](https://image.slidesharecdn.com/pmb-180321135104/85/post-menopausal-bleeding-2-320.jpg?cb=1665675534)
Post menopausal bleeding